Section 1: Introduction About This Course Learning Objectives Section 2: TBI Basics Meet Rob Six Months Later Rob’s Traumatic Brain Injury What Is a Traumatic Brain Injury? Severity Classification Severity Classification Epidemiology of TBI Additional Facts Regarding TBI What Causes TBI/Concussion? Mechanisms of Injury Closed vs. Penetrating TBI Major or Mild Neurocognitive Disorder (NCD) Due to Traumatic Brain Injury Review Summary Section 3: Combat-Related TBI What Is Combat-Related TBI? Impact of Modern Warfare Incidence of TBI in Military Population Incidence of TBI in Military Population Blast Injuries Blast Injuries: Further Complications Meet Staff Sergeant Johnson Staff Sergeant Johnson’s Deployment Blast Point Review Summary Section 4: Manifestations of TBI Temporal Course of Symptoms Initial vs. Later Symptoms of Concussion (mTBI) Post-concussive Symptoms Post-concussive Syndrome (PCS)/Persistent Post-concussive Syndrome (PPCS) PCS Factors Diagnostic Criteria for NCD due to TBI Cognitive Presentation Revisiting Rob Review Summary Section 5: TBI Evaluation Assessing TBI Physical Exam and History Neurological Imaging Screenings MACE PDHA/PDHRA Neuropsychological Testing Benefits of Neuropsychological Evaluation What to Consider Before Evaluation Remember SSG Johnson? More about SSG Johnson What Should SSG Johnson Do? At His Next Evaluation, 24 Hours Later… Summarizing SSG Johnson’s Symptoms Back at the FOB Summary Section 6: Symptom Overlap and Differential Diagnosis Symptom Overlap TBI and PTSD Distinct and Shared Symptoms TBI and PTSD Neurobiological Underpinnings TBI and Depression Differential Diagnosis and Co-morbid Disorders Remember SSG Johnson? Remember SSG Johnson? Review Summary Section 7: Recovery Conceptualizing Recovery Concussion/mTBI Moderate/Severe TBI Recovery Overview Best Practices Additional Ways to Help Patient Education Patient Education – Prevention Review Summary Section 8: Additional Treatment Options Symptom Management Stress Management Concussion Coach Cognitive Rehabilitation Compensatory Cognitive Training Quick Check Veterans’ In-Home Program (VIP) VIP Phases VIP In Action Treatment: Moderate - Severe TBI Needs and Services for Moderate - Severe TBI Quick Check Community Integration and Long-Term Recovery Treatment for Comorbid Conditions Further Evaluating SSG Johnson Further Evaluating SSG Johnson Six Months Later Another Six Months Later Review Summary Section 9: Conclusion Summary Course Contributors Resources References Congratulations! Exam BrainSparks
Jenna Ermold, Ph.D. is a clinical psychologist working as the Assistant Director of Online Programs for the Center for Deployment Psychology at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. In this capacity, she oversees the development and dissemination of online training programs for behavioral health clinicians to improve competency in working with military members and their families. Additionally, she develops and presents workshops across the country to military and civilian audiences on topics in deployment behavioral health and evidence-based therapies for PTSD. She is a graduate of the Malcolm Grow (USAF) Medical Center Psychology Residency Program and served on active duty as a psychology in the United States Air Force from 2002 to 2006. Dr. Ermold graduated from Middlebury College with a degree in psychology and English and received her doctorate in clinical psychology from the University of Vermont. She specializes in health psychology, behavioral health integration into primary care, women's reproductive behavioral health, post-traumatic stress disorder, and military psychology. Disclosure: Jenna Ermold, Ph.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Expert Reviewer: William Brim, Psy.D.
William Brim, Psy.D., is a clinical psychologist and Associate Professor at the Uniformed Services University of the Health Sciences. He has been with the Center for Deployment Psychology since 2007, initially as a Deployment Behavioral Health Psychologist at Malcolm Grow (USAF) Medical Center and serving as the Deputy Director since 2008. He is a graduate of the University of Tennessee (Psychology) and has his Master's and Doctorate in Clinical Psychology from Nova Southeastern University in Fort Lauderdale, FL (1998). He is a graduate of the Wilford Hall (USAF) Medical Center Psychology Residency Program (1998) and the Wilford Hall Clinical Health Psychology Post-doctoral Fellowship Program (2001). Dr. Brim served on Active Duty as a psychologist in the United States Air Force from 1997 to 2007. Disclosure: William Brim, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Staff Writer: Naju Madra, M.A.
Instructor: Carin Lefkowitz, Psy.D.
Naju Madra, M.A. is an internal subject matter expert and clinical content writer for Relias' Behavioral Healthcare library. She earned her Master's degree in Psychology with specific study in neuropsychological assessment for children with Fetal Alcohol Spectrum Disorders. She brings with her a wealth of experience in clinical assessment, along with expertise in large-scale clinical research project management, recruitment, training, as well as in-person and web-based curriculum development.
In addition to scholarly activities such as writing manuals and preparing manuscripts for peer-reviewed journals, Ms. Madra has over 15 years of behavioral healthcare experience ranging from crisis counseling and job coaching for individuals with severe mental illness and co-occurring disorders, to community college instruction, and trauma specialist at the Veterans Health Administration. In her current role, Ms. Madra has contributed authorship to over 100 behavioral healthcare course offerings for both licensed and non-licensed professionals in the Health & Human Services market.Disclosure: Naju Madra, M.A. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Carin Lefkowitz, Psy.D. is a clinical psychologist and Cognitive Behavior Therapy Trainer at the Center for Deployment Psychology. Her areas of interest are the evidence-based assessment and treatment of PTSD and insomnia. She delivers workshops and consultation on these and other topics related to post-deployment mental health. Dr. Lefkowitz is a graduate of New York University (Psychology, Sociology) and earned her Master’s and Doctorate in Clinical Psychology from Widener University (2005) with a concentration in cognitive-behavioral therapy. Prior to joining CDP, Dr. Lefkowitz was a Staff Psychologist at the Corporal Michael J. Crescenz VA Medical Center (Philadelphia). Disclosure: Carin Lefkowitz, Psy.D. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.